Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.80 / $93.80 / $93.80	Facility		$93.80	$93.80	$93.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $107.62 / $107.63	Professional		$92.82	$107.62	$107.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.97 / $1,202.03 / $3,984.19	Facility		$497.97	$1,202.03	$3,984.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $131.04 / $1,500.00	Professional		$85.00	$131.04	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $110.57 / $136.15	Facility		$108.95	$110.57	$136.15